part a - hdfc life life sanchay... · financial consultant (insurance agent) who has advised you...

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Part A

<<16 April 2015>>

<<Policyholder’s Name>>

<<Policyholder’s Address>>

<<Policyholder’s Contact Number>>

Dear <<Policyholder’s Name>>,

Sub: Your Policy no. << >>

We are glad to inform you that your proposal has been accepted and the HDFC Life Sanchay

Plus Policy (“Policy”) being this Policy, has been issued. We have made every effort to

design your Policy in a simple format. We have highlighted items of importance so that you

may recognise them easily.

Policy document:

As an evidence of the insurance contract between HDFC Life Insurance Company Limited

and you, the Policy is enclosed herewith. Please preserve this document safely and also

inform your Nominees about the same. A copy of your proposal form submitted by you is

enclosed for your information and record.

Cancellation in the Free-Look Period:

In case you are not agreeable to any of the provisions stated in the Policy, you have the

option to return the Policy to us stating the reasons thereof, within 15 days from the date of

receipt of the Policy. If you have purchased your Policy through Distance Marketing mode,

this period will be 30 days. On receipt of your letter along with the original Policy (original

Policy Document is not required for policies in dematerialised form), we shall arrange to

refund the Premium paid by you, subject to deduction of the proportionate risk Premium for

the period on cover and the expenses incurred by us for medical examination (if any) and

stamp duty (if any).

Contacting us:

The address for correspondence is specified below. To enable us to serve you better, you are

requested to quote your Policy number in all future correspondence. In case you are keen to

know more about our products and services, we would request you to talk to our Certified

Financial Consultant (Insurance Agent) who has advised you while taking this Policy. The

details of your Certified Financial Consultant including contact details are listed below. In

case you are keen to know more about our products and services, please call us on our toll-

free number 1800 266 9777 or email us @ [email protected]. You can also get in

touch with us via social media:

https://plus.google.com/+hdfclife/

https://www.youtube.com/user/hdfclife10

http://www.linkedin.com/company/19117

https://twitter.com/HDFClife

https://www.facebook.com/HDFClife

To contact us in case of any grievance, please refer to Part G. In case you are not satisfied

with our response, you can also approach the Insurance Ombudsman in your region.

Thanking you for choosing HDFC Life Insurance Company Limited and looking forward to

serving you in the years ahead,

https://plus.google.com/+hdfclife/

https://www.youtube.com/user/hdfclife10

http://www.linkedin.com/company/19117

https://twitter.com/HDFClife

https://www.facebook.com/HDFClife

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Yours sincerely,

<< Designation of the Authorised Signatory >>

Branch Address: <<Branch Address>>

Agency Code: <<Agency Code>>

Agency Name: <<Agency Name>>

Agency Telephone Number: <<Agency mobile & landline number>>

Agency Contact Details: <<Agency address>>

Address for Correspondence: HDFC Life Insurance Company Limited, 11th

Floor Lodha

Excelus, Apollo Mills Compound, N.M. Joshi Marg, Mahalaxmi, Mumbai-400011.

Registered Office: HDFC Life Insurance Company Limited, Lodha Excelus, 13th

Floor,

Apollo Mills Compound, Mahalaxmi, Mumbai-400011. Call 1860-267-9999 (local charges

apply). DO NOT prefix any country code e.g. +91 or 00. Available Mon-Sat from 10 am to 7

pm | Email – [email protected] | [email protected] (For NRI customers only)

Visit – www.hdfclife.com. CIN: L65110MH2000PLC128245.

Helpline number: 18602679999 (Local charges apply)

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POLICY DOCUMENT- HDFC Life Sanchay Plus

Unique Identification Number: <<101N134V01>>

Your Policy is a non-participating non-linked savings insurance policy. This document is the

evidence of a contract between HDFC Life Insurance Company Limited and the Policyholder as

described in the Policy Schedule given below. This Policy is based on the proposal made by the

within named Policyholder and submitted to the Company along with the required documents,

declarations, statements, any response given to medical questionnaire by the Life Assured,

applicable medical evidence and other information received by the Company from the

Policyholder, Life Assured or on behalf of the Policyholder (“Proposal”). This Policy is effective

upon receipt and realisation, by the Company, of the consideration payable as First Premium under

the Policy. This Policy is written under and will be governed by the applicable laws in force in

India and all Premiums and Benefits are expressed and payable in Indian Rupees.

POLICY SCHEDULE

Policy number: << >>

Client ID: << >>

Policyholder Details

Name << >>

Address << >>

Life Assured Details

Name << >>

Address << >>

Date of Birth << dd/mm/yyyy >>

Age on the Date of Risk

Commencement << >> years

Age Admitted <<Yes/No>>

Policy Details

Plan Option Guaranteed Maturity

Date of Risk Commencement << RCD >>

Date of Issue/Inception of Policy << First Issue Date>>

Premium Due Date(s) <<dd /month>>

Sum Assured Rs. << >>

Guaranteed Sum Assured on on

Maturity Rs. << >>

Sum Assured on Death Rs. << >>

Guaranteed Additions As mentioned in Part C Clause 1. (4)

Annualized Premium Rs. << >>>

Policy Term << >> years

Premium Paying Term << >> years

Frequency of Premium Payment << Annual/Half-yearly/ Quarterly/ Monthly >>

Premium per Frequency of

Premium Payment Rs. << >>

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Underwriting Extra Premium per

Frequency of Premium Payment Rs. << >>

Total Premium per Frequency of

Premium Payment Rs. << >>

Grace Period << 15 (for Monthly premium paying frequency)

30 (for other premium payment frequencies) >> days

Final Premium Due Date << dd/mm/yyyy >>

Maturity Date << dd/mm/yyyy >>

Policy issued on the basis of

medical questionnaire << Yes/No >>

Rider Policy Details

Name of the Rider <<>>

UIN of the Rider <<>>

Date of Risk Commencement <<>>

Date of Issue <<>>

Rider Sum Assured <<>>

Annualized Premium/Single

Premium

<<>>

Policy Term <<>>

Premium Paying Term <<>>

Frequency of Premium Payment <<>>

Premium per Frequency of Premium

Payment

<<>>

Rider Policy Details

Name of the Rider <<>>

UIN of the Rider <<>>

Date of Risk Commencement <<>>

Date of Issue <<>>

Rider Sum Assured <<>>

Annualized Premium <<>>

Policy Term <<>>

Premium Paying Term <<>>

Frequency of Premium Payment <<>>

Premium per Frequency of Premium

Payment

<<>>

The Premium amount is excluding any applicable Taxes and levies leviable on the Premium. Amount

of Taxes and levies will be charged at actuals as per prevalent rate.

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NOMINATION SCHEDULE

Nominee’s Name <<Nominee-1 >> <<Nominee-2 >>

Nominee’s Relationship with

the Life Assured << >> << >>

Date of Birth of Nominee << dd/mm/yyyy >> << dd/mm/yyyy >>

Nominee’s Age << >> years << >> years

Nomination Percentage << >> % << >> %

Nominee's Address << >> << >>

Appointee’s Name

<< >> (Applicable where the Nominee

is a minor)

Date of Birth of Appointee << dd/mm/yyyy >>

Appointee's Address << >>

Signed at Mumbai on <<>>

For HDFC Life Insurance Company Limited

Authorised Signatory

Note: Kindly note that name of the Company has changed from "HDFC Standard Life

Insurance Company Limited" to "HDFC Life Insurance Company Limited".

In case you notice any mistake, you may return the Policy document to us for necessary

correction.

SPACE FOR ENDORSEMENTS

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Part B

(Definitions)

In this Policy, the following definitions shall be applicable:

1) Annualized Premium – means the amount of premium payable on Annual frequency.

This amount excludes additional premium for frequency other than Annual frequency,

rider premium, extra premium, if any, and taxes or other levies as applicable from

time to time.

2) Appointee – means the person named by you and registered with us in accordance

with the Nomination Schedule, who is authorized to receive the Death Benefit under

this Policy on the death of the Life Assured while the Nominee is a minor;

3) Assignee – means the person to whom the rights and benefits under this Policy are

transferred by virtue of assignment under section 38 of the Insurance Act, 1938, as

amended from time to time;

4) Assignment – means a provision wherein the Policyholder can assign or transfer a

Policy in accordance with Section 38 of the Insurance Act, 1938 as amended from

time to time;

5) Authority/ IRDAI – means Insurance Regulatory and Development Authority of India;

6) Company, company, Insurer, Us, us, We, we, Our, our – means or refers to HDFC

Life Insurance Company Limited.

7) Date of Risk Commencement - means the date, as stated in the Policy Schedule, on

which the insurance coverage under this Policy commences;

8) Death Benefit - means the amount which is payable on death of life assured in accordance

with Part C.

9) Free Look period – means the period specified under Part D clause 7 from the receipt of

the Policy during which Policyholder can review the terms and conditions of this Policy

and where if the Policyholder is not agreeable to any of the provisions stated in the

Policy, he/ she has the option to return this Policy.

10) Distance Marketing - includes every activity of solicitation (including lead generation)

and sale of insurance products through the following modes: (i) Voice mode, which

includes telephone-calling; (ii) Short Messaging service (SMS); (iii) Electronic mode

which includes e-mail, internet and interactive television (DTH); (iv) Physical mode

which includes direct postal mail and newspaper & magazine inserts; and, (v) Solicitation

through any means of communication other than in person.

11) Frequency of Premium Payment– means the period, as stated in the Policy Schedule,

between two consecutive Premium due dates for the Policy;

12) Grace Period - means the time granted by the insurer from the due date for the

payment of premium, without any penalty / late fee, during which the policy is

considered to be in-force with the risk cover without any interruption as per the terms

of this policy.

13) Life Assured – means the person as stated in the Policy Schedule on whose life the

contingent events have to occur for the Benefits to be payable. The Life Assured may

be the Policyholder.

14) Maturity Benefit - Maturity Benefit means the amount payable on the Maturity Date

in accordance with Part C.

15) Maturity Date – means the date stated in the Policy Schedule, on which the Policy

Term expires and this Policy terminates;

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16) Minor – means for purpose of this Policy any person who is below 18 years of age.

17) Nomination - is the process of nominating a person(s) who is (are) named as

“Nominee(s)” in the proposal form or subsequently included/ changed by an

endorsement. Nomination should be in accordance with provisions of Section 39 of

the Insurance Act, 1938 as amended from time to time.

18) Nominee(s) – means the person nominated by the Policyholder (who is also the Life

Assured) under this policy and registered with us in accordance with the Nomination

Schedule, to whom money secured by the Policy as mentioned under the Death

Benefit shall be paid in event of the death of the Life Assured;

19) Policy Anniversary – means the annual anniversary of the Date of Risk

Commencement;

20) Policyholder, You, you, your – means or refers to the Policyholder stated in the Policy

Schedule.

21) Policy Term – means the term of the Policy as stated in the Policy Schedule;

22) Premium(s) – means an amount stated in the Policy Schedule, payable by you to us

for every Policy Year by the due dates, and in the manner stated in the Policy

Schedule, to secure the benefits under this Policy, excluding applicable taxes and

levies;

23) Premium Paying Term – means the period as stated in the Policy Schedule, in years,

over which Premiums are payable;

24) Regulations – means IRDAI (Non Linked Insurance Products) Regulations, 2013

25) Revival of Policy - means restoration of the Policy, which was discontinued due to the

non-payment of Premium, by the Company with all the benefits mentioned in the

Policy document, with or without rider benefits, if any, upon the receipt of all the

Premiums due and other charges/late fee, if any, as per the terms and conditions of the

Policy, upon being satisfied as to the continued insurability of the

insured/Policyholder on the basis of the information, documents and reports furnished

by the Policyholder.

26) Revival Period - means the period of two consecutive years from the date of

discontinuance of the Policy, during which period the Policyholder is entitled to

revive the Policy, which was discontinued due to the non-payment of Premium, in

accordance with the terms of Revival of a Policy.

27) Sum Assured on Death – means the absolute amount of benefit which is guaranteed

to become payable on death of the Life Assured as per the terms and conditions

specified in the Policy.

28) Guaranteed Sum Assured on Maturity – means the absolute amount of benefit which

is guaranteed to be payable in the form of survival / maturity benefit during the

Policy Term as per the terms and conditions specified in the Policy.

29) Surrender - means complete withdrawal/ termination of the entire Policy.

30) Surrender Value - means an amount, if any, that becomes payable in case of

Surrender of the Policy in accordance with the terms and conditions of the Policy.

31) Total Premiums paid – means a sum of Premiums paid excluding the underwriting

extra premiums, loadings for modal premiums, taxes and other statutory levies, rider

premiums, if any.

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Part C

Benefits

1. Benefits:

(1) Maturity Benefit – On survival of the Life Assured till the end of the Policy Term and

provided all Premiums which have fallen due have been paid, the Maturity Benefit

payable shall be a lump sum amount equal to the Guaranteed Sum Assured on

Maturity plus accrued Guaranteed Additions as mentioned below, where Guaranteed

Sum Assured on Maturity is equal to the sum of Annualized Premiums payable under

the Policy.

(2) Death Benefit – On death of the Life Assured during the Policy Term and provided all

Premiums which have fallen due have been paid, the Death Benefit payable shall be

equal to the accrued Guaranteed Additions plus Sum Assured on Death which is the

highest of:

a) 10 times the Annualized Premium, or

b) 105% of Total Premiums paid, or

c) Guaranteed Sum Assured on Maturity, or

d) an absolute amount assured to be paid on death, which is equal to the Sum

Assured as specified in the Policy Schedule.

Sum Assured shall be equal to the applicable Death Benefit Multiple times the

Annualized Premium. The applicable Death Benefit Multiples are as specified in

Appendix 2.

Upon payment of the Death Benefit, the Policy terminates and no further Benefits are

payable.

(3) Payout period for Maturity Benefit shall be as follows:

Premium

Paying Term Payout Period

5 years Maturity benefit paid as lump sum at the

end of 10th

year


end of 12th

year


end of 20th

year

(4) Guaranteed Additions - Guaranteed Additions will accrue at the end of every Policy

Year and will depend upon the entry age of the insured as per the below table:

End of

Policy

Year

Guaranteed Addition per 1000 Guaranteed Sum Assured on Maturity

PPT = 5 years PPT = 6 years PPT = 10 years

Age Age Age Age Age Age Age Age Age Age Age Age

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2. Recipients of Benefits

(1) The recipients of Benefits under this Policy shall be as specified below:

(i) Death Benefit shall be payable to the registered Nominee(s), if the Policyholder and

the Life Assured are the same; or to the Policyholder if the Life Assured is other

than the Policyholder.

(ii) All other Benefits shall be payable to the Policyholder.

(iii)If the Policy has been assigned, all Benefits shall be payable to the Assignee under

absolute assignment.

3. Payment and cessation of Premiums

(1) The first Premium must be paid along with the submission of your completed

application. Subsequent Premiums are due in full on the due dates as per the

Frequency of Premium Payment set out in your Policy Schedule.

(2) Premiums under the Policy can be paid on yearly, half-yearly, quarterly or monthly

basis as per the chosen Frequency of Premium Payment and as set out in the Policy

Schedule or as amended subsequently.

<=45 46-50 51-55 56-60 <=45 46-50 51-55 56-

60

<=45 46-50 51-

55

56-60

1-5 - - - - - - - - - - - -

6 75 70 65 60 - - - - - - - -

7 75 70 65 60 90 85 80 75 - - - -

8 75 70 65 60 90 85 80 75 80 78 75 72

9 75 70 65 60 90 85 80 75 80 78 75 72

10 75 70 65 60 90 85 80 75 90 88 85 82

11 90 85 80 75 90 88 85 82

12 100 95 90 85 100 98 95 92

13 100 98 95 92

14 110 108 105 102

15 110 108 105 102

16 120 118 115 112

17 120 118 115 112

18 130 128 125 122

19 130 128 125 122

20 140 138 135 132

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(3) If you have chosen monthly Frequency of Premium Payment, we shall collect first 3

months Premium in advance on the date of commencement of Policy, as a prerequisite

to allow monthly mode of premium payment.

(4) The Premiums that fall due in the same financial year can be paid in advance.

However, where the Premium due in one financial year is paid in advance in earlier

financial year, we may collect the same for a maximum period of three months in

advance of the due date of the premium.

(5) Any Premiums paid before the Due Date will be deemed to have been received on the

Due Date for that Regular Premium.

(6) Grace Period:

A grace period of 15 days for monthly Premium paying frequency and 30 days for

other Premium paying frequencies is allowed for the payment of each renewal

Premium after the first Premium. We will not accept part payment of the Premium.

(7) A Premium will be deemed to remain unpaid if the Premium amount has not been

realised by us. If any Premium remains unpaid after the expiry of the grace period,

your Policy may lapse or become Paid-Up, as described in Part D Clause 2, with

effect from the due date of the first unpaid Premium. In that event, the Benefits under

such Policy shall be payable in accordance with Part D Clause 2.

(8) Premiums are payable by you without any obligation on us to issue a reminder notice

to you.

(9) Where the Premiums have been remitted otherwise than in cash, the application of the

Premiums received is conditional upon the realisation of the proceeds of the

instrument of payment, including electronic mode.

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Part D

1. Surrender Value

(1) Guaranteed Surrender Value (“GSV”)

a) The Policy will acquire a GSV upon the payment of at least:

i. first two years’ Premium if the Premium Paying term is 5 years or 6 years; or

ii. first three years’ Premiums if the Premium Paying term is 10 years years

b) For the purpose of computing the Surrender benefits, the Premium excludes

applicable taxes and levies, extra Premium on account of underwriting or change of

Frequency of Premium Payment and rider Premiums, if any.

c) Upon payment of the Surrender Benefit, the Policy shall terminate and all other

Benefits shall cease.

d) Subject to the Policy being in-force, the minimum GSV shall be the sum of GSV of

Premiums paid, and the Surrender Value of the Guaranteed Additions, already

accrued to the Policy

Where,

GSV shall be determined as the applicable GSV factors on premiums paid at

the time of surrender multiplied to the total premiums paid to date. The

premium is excluding any applicable taxes and other statutory levies paid or

any extra premiums paid.

GSV shall be determined as the applicable GSV factors on the Guaranteed

Addition at the time of surrender multiplied to the Guaranteed Additions

already accrued to the policy.

e) The GSV factors applicable for Premiums paid and accrued Guaranteed Additions are

as specified in Appendix 1.

(2) Special Surrender Value (“SSV”)

a) The Company may pay a surrender value higher than the GSV in the form of a

Special Surrender Value (SSV).

b) The SSV shall be equal to the GSV in policy years 2, 3 & 4 for policies with Premium

Paying Term less than 10 years and in policy years 3 & 4 for policies with Premium

Paying Term greater than or equal to 10 years.

c) From the 5th policy year onwards, SSV will be computed as the present value of

future benefits as described below:

F1 * Maturity Benefit Amount (including all Guaranteed Additions)* Premiums paid/

Premiums payable under the policy

F1 is the discounting factor calculated using prevailing interest rates described in Part

D Clause 4 below.

2. Lapsed Policies and Paid-Up policies

(1) If any due Premium is unpaid upon the expiry of the grace period and your Policy has

not acquired a GSV, your Policy’s status will be altered to lapsed status and the cover

will cease.

(2) No Benefits shall be payable under a lapsed Policy.

(3) If any due Premium is unpaid upon the expiry of the grace period and your Policy has

acquired a GSV, your Policy’s status will be altered to reduced paid-up.

(4) Once the Policy becomes reduced paid-up, the maturity and death benefit payouts

shall be computed by multiplying the death/maturity payouts as specified in Part C by

the ratio of the Premiums paid to the Premiums payable under the Policy. No further

Guaranteed Additions shall accrue in the future. The Guaranteed Additions accrued

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till the date of alteration of the Policy to reduced paid-up shall continue to remain

attached.

(5) A lapsed or paid-up Policy may be revived subject to the terms and conditions as

described under Part D Clause 3.

(6) If a reduced paid-up policy is subsequently surrendered, the surrender benefit shall be

computed as below:

F1 * Maturity Benefit Amount (including all Guaranteed Additions)* Premiums paid/

Premiums payable under the policy

F1 is the discounting factor calculated using prevailing interest rates described in Part

D Clause 4 below.

3. Revival of the Policy

If your Policy has been paid-up or lapsed, it would be revived subject to the IRDAI

(Non-Linked Insurance Products) Regulations, 2013 as amended from time to time,

the Board approved underwriting policy and the terms and conditions that we may

specify from time to time. Currently, the application for the revival should be made

within two years from the due date of the first unpaid Premium and before the expiry

of the Policy Term. The revival will be subject to satisfactory evidence of continued

insurability of the Life Assured and payment of outstanding Premiums with interest.

The current rate of interest is 9.75% p.a. Any change in the revival interest rates will

be in accordance with the following formula: Average Annualised 10-year benchmark

G-Sec Yield (over last 6 months & rounded upto the nearest 50 bps) + 2%, at the time

of the review. The source of 10-year benchmark G-sec yield shall be RBI Negotiated

Dealing System-Order Matching segment (NDS-OM).

During revival campaigns, the Company may offer reduced interest rates, subject to

the rules of the special revival campaign. The rebates offered during the revival

campaign may vary from year to year. The maximum interest rate rebate may be set

up to the prevailing revival interest rate. Once the Policy is revived, you are entitled to

receive all contractual Benefits.

4. Discount rate

The discount rate shall be computed with reference to the prevailing interest rates.

The prevailing interest rates will be derived from yields of G-Sec securities of 40

years (Where 40 year G-sec bond yields are not available, the 30 year G-sec bond

yields will be taken into consideration for SSV factors computation). Any change in

the interest rate used will be in accordance with the formula below:

Annualized Yield on reference government bond + k rounded up to the nearest 25

basis points

Where k=150 basis points

The discount rates will be reviewed semi-annually and shall be revised using the

above mentioned formula and the change in the discount rates shall be effective from

25th February and 25th August each year.

5. Alterations

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No alterations are permissible under the Policy except change in Frequency of

Premium Payment. Alteration in the Frequency of Premium Payment may lead to a

change in the Premium.

6. Loans

a) Policy loans will be available during the Policy Term subject to such terms and

conditions as the Company may specify from time to time. Our current terms and

conditions are stated below:

The loan amount will be subject to a maximum of 80% of the surrender value.

The current interest rate on loan is 9.75% p.a. The interest rate on loan shall be

calculated as the Average Annualised 10-year benchmark G-Sec Yield (over last 6

months & rounded up to the nearest 50 bps) + 2%. The interest rate shall be

reviewed half-yearly and any change in the interest rate shall be effective from

25th February and 25th August each year.

In case upon review the interest rate is revised, the same shall apply until next

revision. The source of 10-year benchmark G-sec yield shall be RBI Negotiated

Dealing System-Order Matching segment (NDS-OM). Any change in the

methodology of calculation of interest rate shall be done with prior approval of the

Authority.

Before any Benefits are paid out, loan outstanding together with the interest

thereon will be deducted and the balance amount will be payable

An in-force or fully Paid-up policy shall not be foreclosed for non re-payment of

loan.

7. Free Look Cancellation

In case the Policyholder is not agreeable to any of the provisions stated in the Policy,

the Policyholder has an option to return the Policy to the Company stating the reasons

thereof, within 15 days from the date of receipt of the Policy. If the Policy has been

purchased through Distance Marketing mode, this period will be 30 days. On receipt

of the Policyholder’s letter along with the original Policy document (original Policy

Document is not required for policies in dematerialised form), the Company shall

arrange to refund the Premium paid, subject to deduction of the proportionate risk

Premium for the period on cover and the expenses incurred by the Company for

medical examination (if any) and stamp duty (if any).

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Part E

1. Additional Servicing Charges

No additional servicing charges are applicable in this policy.

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Part F

(General Terms & Conditions)

1. Exclusions

(1) Suicide Exclusion

In case of death of Life Assured due to suicide within 12 months from the Date of

Inception of the Policy, the Death Benefit payable to the Nominee/beneficiary shall be

equal to 80% of the Premiums paid provided the Policy is in-force. In case of death of

Life Assured due to suicide within 12 months from the date of Revival of Policy, the

Death Benefit payable shall to the Nominee/beneficiary shall be equal to an amount

which is higher of 80% of the Premiums paid till the date of death or Surrender Value

as available on the date of death.

2. Age Admitted

The Company has calculated the Premiums under the Policy on the basis of the age of

the Life Assured as declared in the Proposal. In case you have not provided proof of

age of the Life Assured with the Proposal, you will be required to furnish such proof

of age of the Life Assured as is acceptable to us and have the age admitted. In the

event the age so admitted (“Correct Age”) during the Policy Term is found to be

different from the age declared in the Proposal, without prejudice to our rights and

remedies including those under the Insurance Act, 1938 as amended from time to

time, we shall take one of the following actions:

i) If eligible, and if the Correct Age is found to be higher, the benefit payable under

this Policy, Rider, if any, shall be after deduction of such difference of Premium (i.e

difference in Premium paid based on age declared in the Proposal and Premium based

on the Correct Age) along with interest thereon. In such cases, before calculating the

amount of benefit payable, the Policy shall be subject to re-underwriting and the Sum

Assured shall be subject to eligibility as per underwriting norms and the Premium to

be deducted shall be calculated proportionately on such Sum Assured payable. If the

Correct Age is found to be lower, excess Premiums without any interest shall be

refunded.

ii) If ineligible for the Policy basis the Correct Age, the Policy shall be void-ab-initio

and the total Premiums paid shall be refunded without interest after deducting all

applicable charges like medical (if any), Stamp Duty (if any), risk etc.

3. Claim Procedure

(1) Maturity Benefit - The Maturity Benefit will be paid if and only if

(i) The Policy has matured and the Life Assured is alive on the Maturity Date,

(ii) No claim has been made on the Policy, except any survival benefit, if any,

(iii)The Policy has not been discontinued or surrendered or cancelled or terminated;

and

(iv) All relevant documents including the original Policy document in support of your

claim have been provided to the Company.

(2) Death Benefit - The Death Benefit will be paid if and only if

(i) The death of the Life Assured has occurred before the Maturity Date,

(ii) The standard Policy provisions specified in Part F Clause 1 (Exclusions) and

Clause 7 (Incorrect Information and Non Disclosure) are not attracted,

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(iii) The Policy has not been discontinued or surrendered or cancelled or terminated;

and

(iv) All relevant documents in support of the claim have been provided to the

Company. These would normally include the following:

Basic documentation for all claims:

a. Completed claim form, (including NEFT details and bank account proof as

specified in the claim form);

b. Original Policy;

c. Original or copy Death Certificate issued by Municipal Authority/ Gram

Panchayat / Tehsildar (attested by issuing authority);

d. Original or copy of certificate of doctor certifying death (attested by issuing

authority); and

e. Claimant’s identity and residence proof.

Additional records (if death is due to un-natural causes):

a. Original or copy of First Information Report, Police Panchnama report attested

by Police authorities; and

b. Original or copy of Postmortem report attested by Hospital authority.

Note:

a. In case original documents are submitted, attestation on the document by

authorities is not required.

b. Depending on the circumstances of the death, further documents may be called

for as we deem fit.

(v) The claim is required to be intimated to us within a period of 90 days from the date of

death. However, we may condone the delay in claim intimation, if any, where the

claim is genuine and the delay is proved to be for reasons beyond the control of the

claimant.

4. Assignment or Transfer

The Policyholder can assign or transfer of a Policy in accordance with Section 38 of

the Insurance Act, 1938 as amended from time to time. Simplified version of the

provisions of Section 38 is enclosed in Annexure I for reference.

5. Nomination The Policyholder can nominate a person/ persons in accordance with Section 39 of the

Insurance Act, 1938 as amended from time to time. Simplified version of the

provisions of Section 39 is enclosed in Annexure II for reference.

6. Issuance of Duplicate Policy

The Policyholder can request for a duplicate copy of the Policy at HDFC Life offices

or through Certified Financial Consultant (Insurance Agent) who advised you while

taking this Policy. While making an application for duplicate Policy the Policyholder

is required to submit a notarized original indemnity bond on stamp paper. Additional

charges may be applicable for issuance of the duplicate Policy.

7. Incorrect Information and Non-Disclosure

Fraud, misrepresentation and forfeiture would be dealt with in accordance with

provisions of Section 45 of the Insurance Act 1938 as amended from time to time.

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Simplified version of the provisions of Section 45 is enclosed in Annexure III for

reference.

8. Policy on the life of a Minor

Where the Policy has been taken for the benefit of the Life Assured who is a minor,

the Policy shall automatically vest to the Life Assured on his attaining majority.

9. Taxes

(1) Indirect Taxes

Taxes and levies shall be levied as applicable. Any taxes and levies becoming

applicable in future may become payable by you by any method including by levy of

an additional monetary amount in addition to premium and or charges.

(2) Direct Taxes

Tax, if any will be deducted at the applicable rate from the payments made under the

Policy, as per the provisions of the Income Tax Act, 1961 as amended from time to

time.

10. Modification, Amendment, Re-enactment of or to the Insurance laws and rules,

regulations, guidelines, clarifications, circulars etc. thereunder

(1) This Policy is subject to

(i) The Insurance Act 1938, as amended from time to time,

(ii) Amendments, modifications (including re-enactment) as may be made from time to

time, and

(iii)Other such relevant Regulations, Rules, Laws, Guidelines, Circulars, Enactments

etc as may be introduced thereunder from time to time.

(2) We reserve the right to change any of these Policy Provisions / terms and conditions

in accordance with changes in applicable Regulations or Laws, and where required,

with IRDAI’s approval.

(3) We are required to obtain prior approval from the IRDAI before making any material

changes to these provisions, except for changes of regulatory / statutory nature.

(4) We reserve the right to require submission by you of such documents and proof at all

life stages of the Policy as may be necessary to meet the requirements under Anti-

money Laundering/Know Your Customer norms and as may be laid down by IRDAI

and other regulators from time to time.

11. Jurisdiction:

This Policy shall be governed by the laws of India and the Indian Courts shall have

jurisdiction to settle any disputes arising under the Policy.

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12. Notices Any notice, direction or instruction given to us, under the Policy, shall be in writing

and delivered by hand, post, facsimile or from registered electronic mail ID to:

HDFC Life Insurance Company Limited, 11th

Floor, Lodha Excelus, Apollo Mills

Compound, N.M. Joshi Marg, Mahalaxmi, Mumbai - 400011.

Registered Office: Lodha Excelus, 13th Floor, Apollo Mills Compound, N.M. Joshi

Marg, Mahalaxmi, Mumbai - 400011.

E-mail: [email protected]

Or any of our HDFC Life Branches and such other address as may be informed by us.

Similarly, any notice, direction or instruction to be given by us, under the Policy, shall

be in writing and delivered by hand, post, courier, facsimile or registered electronic

mail ID to the updated address in the records of the Company.

You are requested to communicate any change in address, to the Company supported

by the required address proofs to enable the Company to carry out the change of

address in its systems. The onus of intimation of change of address lies with the

Policyholder. An updated contact detail of the Policyholder will ensure that

correspondences from the Company are correctly addressed to the Policyholder at the

latest updated address.

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Appendix 1: Guaranteed Surrender Value Factors

Guaranteed Surrender Value Factors as percentage of Premiums paid

Note: This would only be payable once the policy has acquired a guaranteed surrender value.

Guaranteed Surrender Value Factors

Option Guaranteed Maturity

Premium Paying Term

Policy Year 5 6 10

1 0% 0% 0%

2 30% 30% 0%

3 30% 30% 30%

4 50% 50% 50%

5 50% 50% 50%

6 50% 50% 50%

7 50% 50% 50%

8 75% 75% 75%

9 90% 75% 75%

10 90% 75% 90%

11 90% 100%

12 90% 100%

13 100%

14 100%

15 100%

16 100%

17 100%

18 100%

19 100%

20 100%

Guaranteed Surrender Value (GSV) Factor for Accrued Guaranteed Additions is 30%

Appendix 2: Death Benefit Multiple

Sum Assured will be determined based on your entry age and the Annualized Premium you

commit to pay in a policy year.

Age* Death Benefit

Multiple

Age* Death Benefit

Multiple

Age* Death Benefit

Multiple

Age* Death Benefit

Multiple

5 15.00 19 13.60 33 12.20 47 10.80

6 14.90 20 13.50 34 12.10 48 10.70

7 14.80 21 13.40 35 12.00 49 10.60

8 14.70 22 13.30 36 11.90 50 10.50

9 14.60 23 13.20 37 11.80 51 10.45

10 14.50 24 13.10 38 11.70 52 10.40

11 14.40 25 13.00 39 11.60 53 10.35

12 14.30 26 12.90 40 11.50 54 10.30

13 14.20 27 12.80 41 11.40 55 10.25

14 14.10 28 12.70 42 11.30 56 10.20

15 14.00 29 12.60 43 11.20 57 10.15

16 13.90 30 12.50 44 11.10 58 10.10

17 13.80 31 12.40 45 11.00 59 10.05

18 13.70 32 12.30 46 10.90 60 10.00

* Age on the Date of Risk Commencement.

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Part G

(Grievance Redress Mechanism)

1. Complaint Resolution Process

(i) The customer can contact us on the below mentioned address in case of any

complaint/ grievance:

Grievance Redressal Officer

HDFC Life Insurance Company Limited

11th Floor, Lodha Excelus, Apollo Mills Compound,

N. M. Joshi Marg, Mahalaxmi, Mumbai, Maharashtra - 400011

Helpline number: 18602679999 (Local charges apply)

E-mail: [email protected]

(ii) All grievances (Service and sales) received by the Company will be responded to

within the prescribed regulatory Turn Around Time (TAT) of 15 days.

(iii)Written request or email from the registered email id is mandatory.

(iv) If required, we will investigate the complaints by taking inputs from the customer

over the telephone or through personal meetings.

(v) We will issue an acknowledgement letter to the customer within 3 working days of

the receipt of complaint.

(vi) The acknowledgement that is sent to the customer has the details of the complaint

number, the Policy number and the Grievance Redressal Officer’s name who will be

handling the complaint of the customer.

(vii) If the customer’s complaint is addressed within 3 days, the resolution

communication will also act as the acknowledgment of the complaint.

(viii) The final letter of resolution will offer redressal or rejection of the complaint with

the reason for doing so.

(ix) In case the customer is not satisfied with the decision sent to him or her, he or she

may contact our Grievance Redressal Officer within 8 weeks of the receipt of the

communication at any of the touch points mentioned in the document, failing which,

we will consider the complaint to be satisfactorily resolved.

(x) The following is the escalation matrix in case there is no response within the

prescribed timelines or if you are not satisfied with the response. The number of days

specified in the below- mentioned escalation matrix will be applicable from the date

of escalation.

Level Designation Response Time

1st Level Associate Vice President –

Customer Relations

10 working days

2nd Level (for response not

received from Level 1)

Sr. Vice President –

Customer Relations

7 working days

You are requested to follow the aforementioned matrix to receive satisfactory response from

us.

(xi) If you are not satisfied with the response or do not receive a response from us within 15

days, you may approach the Grievance Cell of IRDAI on the following contact details:

IRDAI Grievance Call Centre (IGCC) TOLL FREE NO: 155255

Email ID: [email protected]

Online- You can register your complaint online at http://www.igms.irda.gov.in/

Address for communication for complaints by fax/paper:

Consumer Affairs Department

Insurance Regulatory and Development Authority of India

Sy No. 115/1, Financial District,

mailto:[email protected]

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Nanakramguda, Gachibowli,

Hyderabad – 500 032,

Fax No: 91- 40 – 6678 9768

2. In the event you are dissatisfied with the response provided by us, you may approach the

Insurance Ombudsman in your region. The details of the existing offices of the Insurance

Ombudsman are provided below. You are requested to refer to the IRDAI website at

“www.irdai.gov.in” for the updated details.

a. Details and addresses of Insurance Ombudsman

Office of the

Ombudsman

Contact Details Areas of

Jurisdiction

AHMEDABAD Office of the Insurance Ombudsman, Jeevan

Prakash Building, 6th floor, Tilak Marg, Relief

Road, Ahmedabad – 380 001.

Tel.: 079 - 25501201/02/05/06

Email: [email protected]

Gujarat , Dadra &

Nagar Haveli,

Daman and Diu

BHOPAL Office of the Insurance Ombudsman, Janak

Vihar Complex, 2nd Floor, 6, Malviya Nagar,

Opp. Airtel Office, Near New Market, Bhopal

– 462 003.

Tel.: 0755 - 2769201 / 2769202 Fax: 0755 -

2769203


Madhya Pradesh &

Chhattisgarh

BHUBANESHWAR Office of the Insurance Ombudsman, 62, Forest

park, Bhubneshwar – 751 009.

Tel.: 0674 - 2596461 /2596455 Fax: 0674 -

2596429


Orissa

BENGALURU Office of the Insurance Ombudsman, Jeevan

Soudha Building, PID No. 57-27-N-19 Ground

Floor, 19/19, 24th Main Road, JP Nagar, Ist

Phase, Bengaluru – 560 078.

Tel.: 080 - 26652048 / 26652049


Karnataka

CHANDIGARH

Office of the Insurance Ombudsman, S.C.O.

No. 101, 102 & 103, 2nd Floor, Batra Building,

Sector 17 – D, Chandigarh – 160 017.

Tel.: 0172 - 2706196 / 2706468 Fax: 0172 -

2708274


Punjab , Haryana,

Himachal Pradesh,

Jammu & Kashmir

, Chandigarh

CHENNAI Office of the Insurance Ombudsman, Fatima

Akhtar Court, 4th Floor, 453, Anna Salai,

Teynampet, CHENNAI – 600 018.

Tel.: 044 - 24333668 / 24335284 Fax: 044 -

24333664


Tamil Nadu,

Pondicherry Town

and Karaikal

(which are part of

Pondicherry)

DELHI Office of the Insurance Ombudsman, 2/2 A,

Universal Insurance Building, Asaf Ali Road,

Delhi







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New Delhi – 110 002.

Tel.: 011 - 23232481 / 23213504


GUWAHATI Office of the Insurance Ombudsman, Jeevan

Nivesh, 5th Floor, Nr. Panbazar over bridge,

S.S. Road, Guwahati – 781001(ASSAM).

Tel.: 0361 - 2632204 / 2602205


Assam, Meghalaya,

Manipur, Mizoram,

Arunachal Pradesh,

Nagaland and

Tripura

HYDERABAD Office of the Insurance Ombudsman, 6-2-46,

1st floor, "Moin Court", Lane Opp. Saleem

Function Palace, A. C. Guards, Lakdi-Ka-

Pool, Hyderabad - 500 004.

Tel.: 040 - 67504123 / 23312122 Fax: 040 -

23376599


Andhra Pradesh,

Telangana, Yanam

and part of

Territory of

Pondicherry

JAIPUR Office of the Insurance Ombudsman, Jeevan

Nidhi – II Bldg., Gr. Floor, Bhawani Singh

Marg, Jaipur - 302 005.

Tel.: 0141 - 2740363


Rajasthan

ERNAKULAM Office of the Insurance Ombudsman, 2nd

Floor, Pulinat Bldg., Opp. Cochin Shipyard, M.

G. Road, Ernakulam - 682 015.

Tel.: 0484 - 2358759 / 2359338 Fax: 0484 -

2359336


Kerala,

Lakshadweep,

Mahe – a part of

Pondicherry

KOLKATA Office of the Insurance Ombudsman,

Hindustan Bldg. Annexe, 4th Floor, 4, C.R.

Avenue, KOLKATA - 700 072.

Tel.: 033 - 22124339 / 22124340 Fax : 033 -

22124341


West Bengal,

Sikkim, Andaman

& Nicobar Islands

LUCKNOW Office of the Insurance Ombudsman, 6th Floor,

Jeevan Bhawan, Phase-II, Nawal Kishore

Road, Hazratganj, Lucknow - 226 001.

Tel.: 0522 - 2231330 / 2231331 Fax: 0522 -

2231310


Districts of Uttar

Pradesh : Laitpur,

Jhansi, Mahoba,

Hamirpur, Banda,

Chitrakoot,

Allahabad,

Mirzapur,

Sonbhabdra,

Fatehpur,

Pratapgarh,

Jaunpur,Varanasi,

Gazipur, Jalaun,

Kanpur, Lucknow,

Unnao, Sitapur,

Lakhimpur,

Bahraich,

Barabanki,

Raebareli, Sravasti,

Gonda, Faizabad,








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Amethi,

Kaushambi,

Balrampur, Basti,

Ambedkarnagar,

Sultanpur,

Maharajgang,

Santkabirnagar,

Azamgarh,

Kushinagar,

Gorkhpur, Deoria,

Mau, Ghazipur,

Chandauli, Ballia,

Sidharathnagar

MUMBAI Office of the Insurance Ombudsman, 3rd Floor,

Jeevan Seva Annexe, S. V. Road, Santacruz

(W), Mumbai - 400 054.

Tel.: 022 - 26106552 / 26106960 Fax: 022 -

26106052


Goa, Mumbai

Metropolitan

Region excluding

Navi Mumbai &

Thane

NOIDA Office of the Insurance Ombudsman, Bhagwan

Sahai Palace 4th Floor, Main Road, Naya

Bans, Sector 15, Distt: Gautam Buddh Nagar,

U.P-201301.

Tel.: 0120-2514250 / 2514252 / 2514253


State of Uttaranchal

and the following

Districts of Uttar

Pradesh: Agra,

Aligarh, Bagpat,

Bareilly, Bijnor,

Budaun,

Bulandshehar, Etah,

Kanooj, Mainpuri,

Mathura, Meerut,

Moradabad,

Muzaffarnagar,

Oraiyya, Pilibhit,

Etawah,

Farrukhabad,

Firozbad,

Gautambodhanagar,

Ghaziabad, Hardoi,

Shahjahanpur,

Hapur, Shamli,

Rampur, Kashganj,

Sambhal, Amroha,

Hathras,

Kanshiramnagar,

Saharanpur

PATNA

Office of the Insurance Ombudsman, 1st

Floor,Kalpana Arcade Building, Bazar Samiti

Road, Bahadurpur, Patna 800 006. Tel.: 0612-

2680952

Email: [email protected].

Bihar, Jharkhand

PUNE Office of the Insurance Ombudsman, Jeevan Maharashtra, Area



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Darshan Bldg., 3rd Floor, C.T.S. No.s. 195 to

198, N.C. Kelkar Road, Narayan Peth, Pune –

411 030.

Tel.: 020-41312555


of Navi Mumbai

and Thane

excluding Mumbai

Metropolitan

Region

b. Power of Ombudsman-

1) The Ombudsman shall receive and consider complaints or disputes relating to—

(a) delay in settlement of claims, beyond the time specified in the regulations, framed

under the Insurance Regulatory and Development Authority of India Act, 1999;

(b) any partial or total repudiation of claims by the Company ;

(c) disputes over premium paid or payable in terms of insurance policy;

(d) misrepresentation of policy terms and conditions at any time in the policy document

or policy contract;

(e) legal construction of insurance policies in so far as the dispute relates to claim;

(f) policy servicing related grievances against insurers and their agents and

intermediaries;

(g) issuance of life insurance policy, general insurance policy including health insurance

policy which is not in conformity with the proposal form submitted by the proposer;

(h) non-issuance of insurance policy after receipt of premium in life insurance; and

(i) any other matter resulting from the violation of provisions of the Insurance Act, 1938,

as amended from time to time, or the regulations, circulars, guidelines or instructions

issued by the IRDAI from time to time or the terms and conditions of the policy

contract, in so far as they relate to issues mentioned at clauses (a) to (f).

2) The Ombudsman shall act as counsellor and mediator relating to matters specified in sub-

rule (1) provided there is written consent of the parties to the dispute.

3) The Ombudsman shall be precluded from handling any matter if he is an interested party

or having conflict of interest.

4) The Central Government or as the case may be, the IRDAI may, at any time refer any

complaint or dispute relating to insurance matters specified in sub-rule (1), to the

Insurance Ombudsman and such complaint or dispute shall be entertained by the

Insurance Ombudsman and be dealt with as if it is a complaint made under Clause (c)

provided herein below.

c. Manner in which complaint is to be made -

1) Any person who has a grievance against the Company, may himself or through his legal

heirs, nominee or assignee, make a complaint in writing to the Insurance Ombudsman

within whose territorial jurisdiction the branch or office of the Company complained

against or the residential address or place of residence of the complainant is located.

2) The complaint shall be in writing, duly signed by the complainant or through his legal

heirs, nominee or assignee and shall state clearly the name and address of the

complainant, the name of the branch or office of the Company against whom the

complaint is made, the facts giving rise to the complaint, supported by documents, the

nature and extent of the loss caused to the complainant and the relief sought from the

Insurance Ombudsman.

3) No complaint to the Insurance Ombudsman shall lie unless—

(a) the complainant makes a written representation to the Company named in the

complaint and—


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i. either the Company had rejected the complaint; or

ii. the complainant had not received any reply within a period of one month after the

Company received his representation; or

iii. the complainant is not satisfied with the reply given to him by the Company;

(b) The complaint is made within one year—

i. after the order of the Company rejecting the representation is received; or

ii. after receipt of decision of the Company which is not to the satisfaction of the

complainant;

iii. after expiry of a period of one month from the date of sending the written

representation to the Company if the Company named fails to furnish reply to the

complainant.

4) The Ombudsman shall be empowered to condone the delay in such cases as he may

consider necessary, after calling for objections of the Company against the proposed

condonation and after recording reasons for condoning the delay and in case the delay is

condoned, the date of condonation of delay shall be deemed to be the date of filing of the

complaint, for further proceedings under these rules.

5) No complaint before the Insurance Ombudsman shall be maintainable on the same subject

matter on which proceedings are pending before or disposed of by any court or consumer

forum or arbitrator

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Annexure I

Section 38 - Assignment or Transfer of Insurance Policies

Assignment or transfer of a policy should be in accordance with Section 38 of the Insurance

Act, 1938 as amended by Insurance Laws (Amendment) Act, 2015 dated 23.03.2015. The

extant provisions in this regard are as follows:

(1) This policy may be transferred/assigned, wholly or in part, with or without

consideration.

(2) An Assignment may be effected in a policy by an endorsement upon the policy itself or

by a separate instrument under notice to the Insurer.

(3) The instrument of assignment should indicate the fact of transfer or assignment and the

reasons for the assignment or transfer, antecedents of the assignee and terms on which

assignment is made.

(4) The assignment must be signed by the transferor or assignor or duly authorized agent

and attested by at least one witness.

(5) The transfer or assignment shall not be operative as against an insurer until a notice in

writing of the transfer or assignment and either the said endorsement or instrument itself

or copy there of certified to be correct by both transferor and transferee or their duly

authorised agents have been delivered to the insurer.

(6) Fee to be paid for assignment or transfer can be specified by the Authority through

Regulations.

(7) On receipt of notice with fee, the insurer should Grant a written acknowledgement of

receipt of notice. Such notice shall be conclusive evidence against the insurer of duly

receiving the notice.

(8) If the insurer maintains one or more places of business, such notices shall be delivered

only at the place where the policy is being serviced.

(9) The insurer may accept or decline to act upon any transfer or assignment or

endorsement, if it has sufficient reasons to believe that it is (a) not bonafide or (b) not in

the interest of the policyholder or (c) not in public interest or (d) is for the purpose of

trading of the insurance policy.

(10) Before refusing to act upon endorsement, the Insurer should record the reasons in

writing and communicate the same in writing to Policyholder within 30 days from the

date of policyholder giving a notice of transfer or assignment.

(11) In case of refusal to act upon the endorsement by the Insurer, any person aggrieved by

the refusal may prefer a claim to IRDAI within 30 days of receipt of the refusal letter

from the Insurer.

(12) The priority of claims of persons interested in an insurance policy would depend on the

date on which the notices of assignment or transfer is delivered to the insurer; where

there are more than one instruments of transfer or assignment, the priority will depend

on dates of delivery of such notices. Any dispute in this regard as to priority should be

referred to Authority.

(13) Every assignment or transfer shall be deemed to be absolute assignment or transfer and

the assignee or transferee shall be deemed to be absolute assignee or transferee, except

a. where assignment or transfer is subject to terms and conditions of transfer or

assignment OR

b. where the transfer or assignment is made upon condition that

i. the proceeds under the policy shall become payable to policyholder or nominee(s) in

the event of assignee or transferee dying before the insured OR

ii. the insured surviving the term of the policy

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Such conditional assignee will not be entitled to obtain a loan on policy or surrender

the policy. This provision will prevail notwithstanding any law or custom having

force of law which is contrary to the above position.

(14) In other cases, the insurer shall, subject to terms and conditions of assignment,

recognize the transferee or assignee named in the notice as the absolute transferee or

assignee and such person

a. shall be subject to all liabilities and equities to which the transferor or assignor

was subject to at the date of transfer or assignment and

b. may institute any proceedings in relation to the policy

c. obtain loan under the policy or surrender the policy without obtaining the consent

of the transferor or assignor or making him a party to the proceedings

(15) Any rights and remedies of an assignee or transferee of a life insurance policy under an

assignment or transfer effected before commencement of the Insurance Laws

(Amendment) Act, 2015 shall not be affected by this section.

[Disclaimer: This is not a comprehensive list of amendments of Insurance Laws

(Amendment) Act, 2015 and only a simplified version prepared for general

information. Policy Holders are advised to refer to Insurance Laws (Amendment) Act,

2015 dated 23.03.2015 for complete and accurate details. ]

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Annexure II

Section 39 - Nomination by policyholder

Nomination of a life insurance Policy is as below in accordance with Section 39 of the

Insurance Act, 1938 as amended by Insurance Laws (Amendment) Act, 2015 dated

23.03.2015. The extant provisions in this regard are as follows:

1) The policyholder of a life insurance on his own life may nominate a person or persons to

whom money secured by the policy shall be paid in the event of his death.

2) Where the nominee is a minor, the policyholder may appoint any person to receive the

money secured by the policy in the event of policyholder’s death during the minority of

the nominee. The manner of appointment to be laid down by the insurer.

3) Nomination can be made at any time before the maturity of the policy.

4) Nomination may be incorporated in the text of the policy itself or may be endorsed on the

policy communicated to the insurer and can be registered by the insurer in the records

relating to the policy.

5) Nomination can be cancelled or changed at any time before policy matures, by an

endorsement or a further endorsement or a will as the case may be.

6) A notice in writing of Change or Cancellation of nomination must be delivered to the

insurer for the insurer to be liable to such nominee. Otherwise, insurer will not be liable if

a bonafide payment is made to the person named in the text of the policy or in the

registered records of the insurer.

7) Fee to be paid to the insurer for registering change or cancellation of a nomination can be

specified by the Authority through Regulations.

8) On receipt of notice with fee, the insurer should grant a written acknowledgement to the

policyholder of having registered a nomination or cancellation or change thereof.

9) A transfer or assignment made in accordance with Section 38 shall automatically cancel

the nomination except in case of assignment to the insurer or other transferee or assignee

for purpose of loan or against security or its reassignment after repayment. In such case,

the nomination will not get cancelled to the extent of insurer’s or transferee’s or

assignee’s interest in the policy. The nomination will get revived on repayment of the

loan.

10) The right of any creditor to be paid out of the proceeds of any policy of life insurance

shall not be affected by the nomination.

11) In case of nomination by policyholder whose life is insured, if the nominees die before

the policyholder, the proceeds are payable to policyholder or his heirs or legal

representatives or holder of succession certificate.

12) In case nominee(s) survive the person whose life is insured, the amount secured by the

policy shall be paid to such survivor(s).

13) Where the policyholder whose life is insured nominates his (a) parents or (b) spouse or

(c) children or (d) spouse and children (e) or any of them; the nominees are beneficially

entitled to the amount payable by the insurer to the policyholder unless it is proved that

policyholder could not have conferred such beneficial title on the nominee having regard

to the nature of his title.

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14) If nominee(s) die after the policyholder but before his share of the amount secured under

the policy is paid, the share of the expired nominee(s) shall be payable to the heirs or

legal representative of the nominee or holder of succession certificate of such nominee(s).

15) The provisions of sub-section 7 and 8 (13 and 14 above) shall apply to all life insurance

policies maturing for payment after the commencement of Insurance Laws (Amendment)

Act, 2015 (i.e. 23.03.2015).

16) If policyholder dies after maturity but the proceeds and benefit of the policy has not been

paid to him because of his death, his nominee(s) shall be entitled to the proceeds and

benefit of the policy.

17) The provisions of Section 39 are not applicable to any life insurance policy to which

Section 6 of Married Women’s Property Act, 1874 applies or has at any time applied

except where before or Insurance Laws (Amendment) Act, 2015, a nomination is made in

favour of spouse or children or spouse and children whether or not on the face of the

policy it is mentioned that it is made under Section 39. Where nomination is intended to

be made to spouse or children or spouse and children under Section 6 of MWP Act, it

should be specifically mentioned on the policy. In such a case only, the provisions of

Section 39 will not apply.


(Amendment) Act, 2015 and only a simplified version prepared for general information.

Policy Holders are advised to refer to Insurance Laws (Amendment) Act, 2015 dated

23.03.2015 for complete and accurate details.

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Annexure III

Section 45 – Policy shall not be called in question on the ground of mis-statement after

three years

Provisions regarding policy not being called into question in terms of Section 45 of the

Insurance Act, 1938, as amended Insurance Laws (Amendment) Act, 2015 dated

23.03.2015are as follows:

1) No Policy of Life Insurance shall be called in question on any ground whatsoever after

expiry of 3 yrs from

a. the date of issuance of policy or

b. the date of commencement of risk or

c. the date of revival of policy or

d. the date of rider to the policy

whichever is later.

2) On the ground of fraud, a policy of Life Insurance may be called in question within 3

years from

a. the date of issuance of policy or

b. the date of commencement of risk or

c. the date of revival of policy or

d. the date of rider to the policy

whichever is later.

For this, the insurer should communicate in writing to the insured or legal representative

or nominee or assignees of insured, as applicable, mentioning the ground and materials on

which such decision is based.

3) Fraud means any of the following acts committed by insured or by his agent, with the

intent to deceive the insurer or to induce the insurer to issue a life insurance policy:

a. The suggestion, as a fact of that which is not true and which the insured does not

believe to be true;

b. The active concealment of a fact by the insured having knowledge or belief of the fact;

c. Any other act fitted to deceive; and

d. Any such act or omission as the law specifically declares to be fraudulent.

4) Mere silence is not fraud unless, depending on circumstances of the case, it is the duty of

the insured or his agent keeping silence to speak or silence is in itself equivalent to speak.

5) No Insurer shall repudiate a life insurance Policy on the ground of Fraud, if the Insured /

beneficiary can prove that the misstatement was true to the best of his knowledge and

there was no deliberate intention to suppress the fact or that such mis-statement of or

suppression of material fact are within the knowledge of the insurer. Onus of disproving

is upon the policyholder, if alive, or beneficiaries.

6) Life insurance Policy can be called in question within 3 years on the ground that any

statement of or suppression of a fact material to expectancy of life of the insured was

incorrectly made in the proposal or other document basis which policy was issued or

revived or rider issued. For this, the insurer should communicate in writing to the insured

or legal representative or nominee or assignees of insured, as applicable, mentioning the

ground and materials on which decision to repudiate the policy of life insurance is based.

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7) In case repudiation is on ground of mis-statement and not on fraud, the premium collected

on policy till the date of repudiation shall be paid to the insured or legal representative or

nominee or assignees of insured, within a period of 90 days from the date of repudiation.

8) Fact shall not be considered material unless it has a direct bearing on the risk undertaken

by the insurer. The onus is on insurer to show that if the insurer had been aware of the

said fact, no life insurance policy would have been issued to the insured.

9) The insurer can call for proof of age at any time if he is entitled to do so and no policy

shall be deemed to be called in question merely because the terms of the policy are

adjusted on subsequent proof of age of life insured. So, this Section will not be applicable

for questioning age or adjustment based on proof of age submitted subsequently.


(Amendment) Act, 2015 and only a simplified version prepared for general information.

Policy Holders are advised to refer to Insurance Laws (Amendment) Act, 2015 dated

23.03.2015 for complete and accurate details. ]

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